Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.85 / $247.14 / $310.48	Professional		$223.85	$247.14	$310.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $286.00 / $346.70	Professional		$275.00	$286.00	$346.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $321.39	Facility		$209.52	$209.52	$321.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $209.52 / $290.14	Professional		$178.09	$209.52	$290.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $201.42 / $259.50 / $447.70	Facility		$201.42	$259.50	$447.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $333.03 / $333.03 / $333.03	Professional		$333.03	$333.03	$333.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.24 / $121.86 / $216.64	Professional		$16.24	$121.86	$216.64
United Facility/Professional Professional Modifier Low / Median / High Price $131.58 / $201.56 / $269.02	Professional		$131.58	$201.56	$269.02